CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Trinity Health Oakland Hospital
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $2,033
- Cash Discount Price: $1,943
- vs. Medicare Baseline: 11.34x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Trinity Health Oakland Hospital is $2,033. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,943. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.34x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$1,943
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,033
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$179.2
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $1,943 (1084%)
Insurance Median: $2,033 (1134%)
Cash: $1,943 (1084% of Medicare)
Ins. Median: $2,033 (1134% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1134% of the Medicare baseline (a markup of 1034%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $96 - $98 | 54% |
| Blue Cross Blue Shield | $98 - $186 | 55% |
| Aetna | $145 - $1,354 | 81% |
| Geha | $145 - $2,242 | 81% |
| Medical Mutual | $145 | 81% |
| Meritain | $145 | 81% |
| Blue Care Network Advantage | $171 | 95% |
| Medicare (plans) | $171 - $175 | 95% |
| Align Senior Care | $175 | 98% |
| Hospice Advantage | $175 | 98% |
| UnitedHealthcare | $180 - $2,242 | 100% |
| Cca - Zing Health | $185 | 103% |
| Bcn Domestic | $186 | 104% |
| Blue Benefit Administrators Of Massachusetts | $186 | 104% |
| Blue Care Network | $186 | 104% |
| Blue Distinction Transplant | $186 | 104% |
| Blue Shield - Ca | $186 | 104% |
| Blue Shield - Id (Regence) | $186 | 104% |
| Blue Shield - Ny Highmark Northeastern | $186 | 104% |
| Blue Shield - Ny Highmark Western | $186 | 104% |
| Blue Shield - Pa (Highmark) | $186 | 104% |
| Blue Shield - Wa (Regence) | $186 | 104% |
| Health Choices | $186 - $2,194 | 104% |
| Kaiser Domestic | $186 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $197 | 110% |
| Molina Marketplace | $227 | 127% |
| Health Cost Solutions | $271 | 151% |
| Vitalcore | $271 | 151% |
| Wellpath | $271 | 151% |
| Asr Health Benefits | $379 | 211% |
| Caresource | $379 | 211% |
| Hap | $379 - $2,176 | 211% |
| Varipro | $379 | 211% |
| U Of M Health Plan | $385 | 215% |
| Employee Benefit Logistic | $403 | 225% |
| Priority Health | $417 - $463 | 233% |
| Wc Accident Fund | $907 | 506% |
| Wc Advantage | $907 | 506% |
| Wc Aig | $907 | 506% |
| Wc Allied | $907 | 506% |
| Wc Amerisure | $907 | 506% |
| Wc Amtrust | $907 | 506% |
| Wc Asu Risk Mgt | $907 | 506% |
| Wc Berkley Admin | $907 | 506% |
| Wc Broadspire | $907 | 506% |
| Wc Bunch & Associates | $907 | 506% |
| Wc Ccmsi | $907 | 506% |
| Wc Emc Insurance Company | $907 | 506% |
| Wc Esis | $907 | 506% |
| Wc Fcci | $907 | 506% |
| Wc Federated | $907 | 506% |
| Wc Gallagher Bassett | $907 | 506% |
| Wc Genex Care For Ohio | $907 | 506% |
| Wc Guard Insurance Company | $907 | 506% |
| Wc Hartford | $907 | 506% |
| Wc Liberty Mutual | $907 | 506% |
| Wc Meijers | $907 | 506% |
| Wc Michigan | $907 | 506% |
| Wc Mitchell Frankenmuth | $907 | 506% |
| Wc Pma | $907 | 506% |
| Wc Sedgwick | $907 | 506% |
| Wc Sentry | $907 | 506% |
| Wc Travelers | $907 | 506% |
| Wc Tristar | $907 | 506% |
| Wc Walmart | $907 | 506% |
| Wc Zurich | $907 | 506% |
| Acs Benefit Services | $1,315 | 734% |
| Allied Benefit Systems | $1,315 | 734% |
| Claimchoice Adminstrators | $1,315 | 734% |
| Consociate | $1,315 | 734% |
| Cypress Benefit Administrators | $1,315 | 734% |
| Forest County Potawatomi | $1,315 | 734% |
| Health Smart | $1,315 | 734% |
| Healthgram | $1,315 | 734% |
| Healthscope | $1,315 | 734% |
| Secureone Preferred United Plans | $1,315 | 734% |
| Sisco Benefits | $1,315 | 734% |
| The Health Plan | $1,315 | 734% |
| Trustmark Small Business Benefits | $1,315 | 734% |
| Unified Group Services | $1,315 | 734% |
| Webtpa | $1,315 | 734% |
| Mclaren Health | $1,437 - $1,567 | 802% |
| Carelon Behavioral Health | $1,494 | 834% |
| Magellan Behavioral Health | $1,793 | 1001% |
| 1199 National Benefit Fund | $2,033 | 1134% |
| Allied National Global Care | $2,033 | 1134% |
| Asrm - Reliance Standard Life Insurance | $2,033 | 1134% |
| Christian Care Ministry | $2,033 | 1134% |
| Dean Health | $2,033 | 1134% |
| Fallon Health | $2,033 | 1134% |
| Family Life Insurance Company | $2,033 | 1134% |
| Ghc Scw | $2,033 | 1134% |
| Group Pension Administrators | $2,033 | 1134% |
| International Benefit Administrators | $2,033 | 1134% |
| Lifetime Benefit Solutions | $2,033 | 1134% |
| Manhattan Life | $2,033 | 1134% |
| Medi Share | $2,033 | 1134% |
| Multiplan | $2,033 | 1134% |
| Mvp | $2,033 | 1134% |
| Pai | $2,033 | 1134% |
| Pan-American Life | $2,033 | 1134% |
| Paramount Hmo | $2,033 | 1134% |
| Phcs | $2,033 | 1134% |
| Trinity Health Share | $2,033 | 1134% |
| Health Partners | $2,176 | 1214% |
| Tufts Health Plan | $2,176 | 1214% |
| Access Health | $2,194 | 1224% |
| Acclaim | $2,194 | 1224% |
| Administrative Concepts | $2,194 | 1224% |
| Allegeant | $2,194 | 1224% |
| Ameriben | $2,194 | 1224% |
| American Family | $2,194 | 1224% |
| American Healthcare Alliance | $2,194 | 1224% |
| American National | $2,194 | 1224% |
| American Republic | $2,194 | 1224% |
| Amerihealth | $2,194 | 1224% |
| Aultcare | $2,194 | 1224% |
| Automated Benefit Services | $2,194 | 1224% |
| Auxiant | $2,194 | 1224% |
| Benefit Administrative Systems,Llc | $2,194 | 1224% |
| Boon Chapman | $2,194 | 1224% |
| Cam Administrative Services | $2,194 | 1224% |
| Christian Brother Services | $2,194 | 1224% |
| Christian Brothers Holy Cross | $2,194 | 1224% |
| Comprehensive Benefits | $2,194 | 1224% |
| Continental Life Insurance | $2,194 | 1224% |
| Custom Benefit Administrators | $2,194 | 1224% |
| Employee Benefit Concepts | $2,194 | 1224% |
| Employee Benefit Management | $2,194 | 1224% |
| Enterprise Group Planning | $2,194 | 1224% |
| Freedom Life Insurance Company | $2,194 | 1224% |
| Group Administrators | $2,194 | 1224% |
| Group Marketing Services | $2,194 | 1224% |
| Guardian | $2,194 | 1224% |
| Health America | $2,194 | 1224% |
| Healthcare Management Admin | $2,194 | 1224% |
| Healthez | $2,194 | 1224% |
| Humana | $2,194 | 1224% |
| Insight | $2,194 | 1224% |
| Intercare | $2,194 | 1224% |
| Jfp Benefit Management | $2,194 | 1224% |
| Jp Farley Corporation | $2,194 | 1224% |
| Key Benefit Administrator | $2,194 | 1224% |
| Liberty Union Life Assurance Co | $2,194 | 1224% |
| Lucent Health | $2,194 | 1224% |
| Luminare Health | $2,194 | 1224% |
| Luminare Health (Detroit) | $2,194 | 1224% |
| Magnacare | $2,194 | 1224% |
| Medben | $2,194 | 1224% |
| Medcost | $2,194 | 1224% |
| Mutual Health Services | $2,194 | 1224% |
| Mutual Of Omaha | $2,194 | 1224% |
| Ncas | $2,194 | 1224% |
| Nippon Life Ins | $2,194 | 1224% |
| Nova | $2,194 | 1224% |
| Painters Union Insurance Fund | $2,194 | 1224% |
| Physicians Mutual | $2,194 | 1224% |
| Plumbers Local 98 Insurance Fund | $2,194 | 1224% |
| Prairie States | $2,194 | 1224% |
| Preferred One | $2,194 | 1224% |
| Primary Physician Care | $2,194 | 1224% |
| Professional Benefit Administrators | $2,194 | 1224% |
| Siho Insurance Services | $2,194 | 1224% |
| The Loomis Company | $2,194 | 1224% |
| Unicare | $2,194 | 1224% |
| Us Health And Life | $2,194 | 1224% |
| Valenz | $2,194 | 1224% |
| Western & Southern Financial Group | $2,194 | 1224% |
| Wps | $2,194 | 1224% |
| Cigna | $2,215 | 1236% |
| Coventry | $2,253 | 1257% |
| First Health | $2,253 | 1257% |
| Prime Health Services | $2,391 | 1334% |
| Three Rivers Provider Network | $2,690 | 1501% |
| Cmh Detroit Wayne Integrated Health Network | $2,989 | 1668% |
| Cmh Lenawee County | $2,989 | 1668% |
| Cmh Livingston County | $2,989 | 1668% |
| Cmh Misc | $2,989 | 1668% |
| Cmh Monroe County | $2,989 | 1668% |
| Cmh Oakland County | $2,989 | 1668% |
| Cmh Washtenaw County | $2,989 | 1668% |